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Re: [IP] Dawn phenomenon



Michael,

Could it be the Somoygi (sp?) effect that you are thinking
of?

8^)



--- Michael <email @ redacted> wrote:
> > First I would like to thank all the members who replyed
> to my last
> > question, but I think I need to clarify it a little
> better. I have a
> > question about dawn phenomenon.What exactly is it, and
> how do you
> > overcome it? I believe my daughter may have it. In the
> morning if
> > she doesn't eat, her basal rate is just fine, but if
> she eats, she
> > goes way up to 300 an hour and a half later.
> 
> That's not dawn phenomenom. There is a name for it, but I
> can't 
> remember what it is, for now let's call it XX. It also
> sounds like 
> there is some mismatch between the glycemic index of the
> food and the 
> insulin dose. Try adding a little FAT to the breakfast,
> butter on the 
> toast, cook eggs with butter, etc... or have her eat
> "sweetened" 
> cereal, which uses complex sugars that take a while to
> break down.
> 
> Back to the bg rise which is unrelated to carb content.
> The XX is related to the state your body is in when you
> wake up and 
> transition to "operating" mode. Some folks find that if
> you sleep in, 
> it does not happen. It seems directly related to eating
> in the sense 
> that eating is the trigger (in addition to waking) but it
> is not 
> proportional to what you eat. XX bg rise can be separated
> from the 
> food bg rise by careful testing of bgs and knowing the
> carb content 
> of the "test" meal. From that info, a standard bolus can
> be 
> calculated for the XX rise which is taken prior to the
> meal.
> 
> Example. Day 1. Rise at usual time. Eat breakfast of
> cereal, toast 
> and milk -- carbs about 30 - 45. Bolus for breakfast with
> your 
> standard ratio. Measure bgs every hour for 4 hours.
> 
> Day 2. Rise at usual time. Eat breakfas of scrambled egg
> and crystal 
> lite -- carbs 0  Measure bgs every hour for 4 hours. (All
> right!! if 
> you must, have a piece of toast = 15 g). Bolus if
> necessary and 
> measure bgs every hour for 4 hours. The difference should
> be the bg 
> rise attributable to XX. 
> Calculate the high bg bolus for that bg rise
> 
> Try a bolus of 50-75% of the XX amount on Day 3 with the
> same cereal, 
> toast milk breakfast as Day 1 + meal bolus. Raise or
> lower the XX 
> bolus until you get a match. Remember that post-prandial
> bg's of 150 
> to 180 are OK.
> 
> The preceeding assumes that everything will go perfectly
> on the test 
> days. Of course, they won't. It will take some time, be
> patient.
>  
> Michael

===
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